Nursing Practices and Client Care | Exams Nursing

ATI Practice Exam Test B 2023

A nurse is submitting a dietary request for a client who devoutly follows Mormon dietary

practices. The nurse should ask the client if they would like which of the following foods

or beverages excluded from meals?Bacon

Coffee

Shrimp

Milk - Coffee

A nurse is assessing a client who has a rash on their hands and forearms after working

in a garden. The nurse should identify that which of the following findings indicates

contact dermatitis?

Pustules in a scatter pattern across the erythematous area

Elevations of the skin with darkened areas and irregular borders

Well-defined margins of the erythematous area

Straight, black, threadlike lesions - Well-defined margins of the erythematous area

home health nurse is teaching a client about fire extinguishers. Which of the following

instructions should the nurse include in the teaching?

Store a fire extinguisher next to the kitchen stove.

Call the fire department before using a fire extinguisher.

Use a class A extinguisher to put out an electrical fire.

Aim the hose of the fire extinguisher toward the top of the flames. - Call the fire

department before using a fire extinguisher

A nurse is performing a fall risk assessment for a client. Which of the following findings

should the nurse identify as a fall risk?

The client uses a raised toilet seat.

The client takes a flaxseed supplement.

The client looks at the ground while walking.

The client has a history of urinary frequency. - the client has a history of urinary

frequency

A nurse is assessing a 10-month-old infant who has a urinary tract infection (UTI). which

of the following findings should the nurse expect?

Decreased appetite

Generalized rash

Decreased respiratory rate

Constipation - Decreased appetite

A nurse is preparing to administer acetaminophen drops 60 mg PO to an infant who has

a fever. The amount available is 160mg/5 mL. How many mL should the nurse

administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do

not use a training zero.) - 1.9 mL

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ATI Practice Exam Test B 2023

A nurse is submitting a dietary request for a client who devoutly follows Mormon dietary practices. The nurse should ask the client if they would like which of the following foods or beverages excluded from meals?Bacon Coffee Shrimp Milk - Coffee A nurse is assessing a client who has a rash on their hands and forearms after working in a garden. The nurse should identify that which of the following findings indicates contact dermatitis? Pustules in a scatter pattern across the erythematous area Elevations of the skin with darkened areas and irregular borders Well-defined margins of the erythematous area Straight, black, threadlike lesions - Well-defined margins of the erythematous area home health nurse is teaching a client about fire extinguishers. Which of the following instructions should the nurse include in the teaching? Store a fire extinguisher next to the kitchen stove. Call the fire department before using a fire extinguisher. Use a class A extinguisher to put out an electrical fire. Aim the hose of the fire extinguisher toward the top of the flames. - Call the fire department before using a fire extinguisher A nurse is performing a fall risk assessment for a client. Which of the following findings should the nurse identify as a fall risk? The client uses a raised toilet seat. The client takes a flaxseed supplement. The client looks at the ground while walking. The client has a history of urinary frequency. - the client has a history of urinary frequency A nurse is assessing a 10-month-old infant who has a urinary tract infection (UTI). which of the following findings should the nurse expect? Decreased appetite Generalized rash Decreased respiratory rate Constipation - Decreased appetite A nurse is preparing to administer acetaminophen drops 60 mg PO to an infant who has a fever. The amount available is 160mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a training zero.) - 1.9 mL

A nurse is teaching a client to self-administer 8 units of NPH insulin and 2 units of regular insulin in the same syringe. Which of the following client statements indicates an understanding of the teaching? "I'll draw up regular insulin into the syringe before the NPH insulin." "I'll inject air into the regular insulin vial before the NPH vial." "I'll inject 10 units of air into the regular insulin vial." "I'll inject 10 units of air into the NPH insulin vial." - "I'll draw up regular insulin in the syringe before the NPH insulin." A nurse on a mental health unit is planning an in-service for a newly hired staff about the use of restraints. Which of the following information should the nurse include?

Document a client's condition every 15 min while in restraints.
Request a prescription for PRN restraints for a client who has a history of violence.
Restrain a client as a consequence of not following rules on the unit.
Limit the time an adult client is in restraints to 5 hr. - Document a client's condition every 15 while in restraints. A nurse is a part of an informatics committee to improve safety with medications administration. Which of the following recommendations should the nurse make to decrease the risk of errors at the bedside?
Disable Internet access from computers used for medication administration.
Use an electronic medication administration record for documentation.
Create a computer-specific password that staff share for each computer on the unit.
Ask providers to handwrite prescriptions that are then scanned into the computer. - Use an electronic medication administration record for documentation A nurse is discussing informed consent with a group of newly licensed nurses. Which of the following actions is the responsibility of the nurses when obtaining informed consent?
Answer a client's questions about the risks of a procedure.
Provide information about alternative treatment options.
Explain the steps of the medical procedure documented on the consent form.
Verify that the client voluntarily gave consent for the procedure. MY ANSWER - Verify that the client voluntarily gave consent for the procedure A nurse is teaching a client who has a new diagnosis of obstructive sleep apnea. Which of the following statements should the nurse include? Obstructive sleep apnea occurs when you stop breathing for at least 10 seconds." "Obstructive sleep apnea is caused by a dysfunction in the brain." "Obstructive sleep apnea increases your risk for developing diabetes mellitus." "Obstructive sleep apnea causes excessive episodes of deep sleep." - "Obstructive sleep apnea occurs when you stop breathing for at least 10 seconds." A nurse is teaching the parent of a 5-month-old infant who is breastfed about the introductions of complementary foods. Which of the following statements should the nurse make?

A nurse is using the SOAP format to document in the electronic medical record of a client who is 2 days postoperative following an open cholecystectomy. Which of the following entries should the nurse practice in the "A" portion of the SOAP progress note? "Respiratory rate 22. Temperature 99.8º F. O2 sat 92%. Lung sounds diminished in bases bilaterally. Has not ambulated or used incentive spirometer since last evening." "Client states, 'I've been coughing up some thick mucus this morning.'" "Set up ambulation schedule and offer incentive spirometer hourly during the day and when awake at night." "Ineffective airway clearance due to inadequate use of spirometer." - "Ineffective airway clearance due to inadequate use of spiromimeter." A nurse is performing a health screening assessment on a client. Which of the following findings should the nurse identify as a risk factor for developing colorectal cancer? History of polyps History of GERD History of a high-fiber diet History of an inguinal hernia - History of polyps A nurse is discussing a wellness approach to preventing excessive nutrition intake with a group of clients. Which of the following statements should the nurse make? "Keep a record of cues that trigger a desire to eat." "Use distractions to decrease the pleasure associated with eating." "Eat on a regular schedule, even if you are not hungry." "Consume most of your calories in the evening." - Keep a record of cues that trigger a desire to eat." A nurse is preparing to administer enoxaparin to a client via subcutaneous injection. Which of the following actions should the nurse take? Position the sensor pad below the client's calves. Place the sensor pad under the bottom sheet. Set the time delay for 20 seconds. Connect the sensor pad to the call system. - Administer the medication to the client's abdomen. A nurse is applying a bed safety monitoring device for a client. Which of the following actions should the nurse take? Position the sensor pad below the client's calves. Place the sensor pad under the bottom sheet. Set the time delay for 20 seconds. Connect the sensor pad to the call system - Connect the sensor pad to the call system A public health nurse is preparing to care for a community that has a large population of clients who practice the Islamic faith. Which of the following practices should the nurse anticipate when care for clients in this community? Requesting to face skyward when dying

Moving to the floor to pray Gathering for group worship on Sundays Observing prayer times twice each day - Moving to the floor to pray A home health nurse is planning care for an older adult who lives alone and reports having difficulty adhering to their medication regimen. The nurse should include with of the following interventions in the plan? Provide medications in childproof containers. Recommend using divided daily medication doses. Organize daily medications in a divided pill box. Place different medications in the same bottle. - Organize daily medications in a divided pill box. A nurse is providing teaching about negative pressure wound therapy (NPWT) to a client who has a chronic pressure ulcer. Which of the following information should the nurse include? NPWT reduces the amount of granulation tissue on the wound bed. NPWT promotes drainage of infectious materials from the wound. NPWT pushes clean air into the wound to promote oxygenation. NPWT eliminates moisture throughout the depth of the wound. - NPWT promotes drainage of infectious materials from the wound. A nurse is performing a health screening on a client. The nurse should identify that which of the following findings places the client at risk for type 2 diabetes mellitus? History of a ulcerative colitis History of a sedentary lifestyle History of long-term aspirin use History of group A beta-hemolytic Streptococci infection - History of a sedentary lifestyle A nurse discovers a medication omission from the previous shift and notifies the charge nurse. which of the following statements should the charge nurse make? "You should document in the client's medical record that an incident report has been completed." "You should contact the nurse who neglected to administer the medication to complete the incident report." "You should document why you think the omission occurred." "You should monitor the client for injury." - You should monitor the client for injury. A nurse is teaching a group of assertive personnel about expected physical changes associated with aging. Which of the following information should the nurse include? Decrease in sense of taste Decrease in blood pressure Increase in subcutaneous fat Increase in perspiration - Decrease in sense of taste

Esomeprazole Nitrofurantoin Sildenafil - Nitrofurantoin A nurse is teaching a client about using nicotine gum for smoking cessation. Which of the following instructions should the nurse include? Drink water about 5 min before chewing the nicotine gum. Use the gum on an as-needed basis for best results. Chew a piece of nicotine gum slowly and intermittently. Keep using the nicotine gum for about 1 year. - Chew a piece of nicotine gum slowly and intermittently A nurse is teaching a class about documenting client care in paper charts. Which of the following instructions should the nurse include in the teaching? "Document care before it is completed." "Leave blank spaces in the note for others to use." "Correct charting errors as they occur." "Do not document procedures that are omitted." - Correct charting errors as they occur. An employee health nurse is providing an in-service on infection control procedures. Which of the following infections should the nurse identify as requiring contact isolation precautions? Vancomycin-resistant enterococci (VRE) Influenza Methicillin-resistant Staphylococcus aureus (MRSA) Clostridium difficile Tuberculosis - Vancinycin-resistant enterococci (VRE) Methicillin-resistant Staphyloccus aureus (MRSA) Clostridium difficile A nurse is updating the plan of care for a client who is experiencing chemotherapy- induced nausea and vomiting. Which of the following interventions should the nurse include? Serve additional beverages for the client at mealtimes. Provide the client with room-temperature foods. Request foods that have an increased fat content. Offer the client a variety of spices to enhance the flavor of bland foods. - Provide the client with room-temperature foods A nurse is monitoring a client who is 3 days postoperative following amputation and reports phantom limb pain (PLP). Which of the following actions should the nurse take first? Ask the client to describe the pain sensations. Request a consult with physical therapy. Request a prescription for IV calcitonin.

Ask if the client wants to learn about nonpharmacological pain relief strategies. - Ask the client to describe the pain sensations A nurse is providing teaching to the parent of a school-age child who has juvenile idiopathic about pain management. Which og the following statements should hte nurse include? Keep the child home from school on days when pain is present. Instruct the child to take a nap after school each day. Encourage the child to participate in physical play activities. Place a cold pack on painful joints for 10 min every hr. - Encourage the child to participate in physical play activities/ A nurse is participating in a community health screening. Which of the following information should the nurse include about the risk factors for breast cancer? The use of oral contraceptives lowers the risk for breast cancer. Clients who enter menopause at a later age have a lower risk for breast cancer. Clients between the ages of 50 and 60 years have the highest risk for breast cancer. The use of hormone replacement therapy increases the risk for breast cancer. - The use of hormone replacement therapy increases the risk for breast cancer A nurse is caring for a client who has an indwelling urinary catheter. Which of the following manifestations should indicate to the nurse that the client is developing a catheter-acquired infection? Bradycardia Increased fremitus Abdominal distention Low-back pain - Low-back pain A nurse is planning to provide teaching for a client who has fibromyalgia and is experiencing chronic pain. The nurse should expect to teach the client about which of the following medications? Duloxetine Denosumab Montelukast Promethazine - Duloxetine A nurse is caring for a client who has a recent diagnosis of iron deficiency. The client asks the nurse for food suggestions to increase iron in their diet. Which of the following foods should the nurse recommend? Raisins Cheddar cheese Yogurt Green tea - Raisins

Productive cough Abdominal pain Urinary frequency Peripheral edema - Abdominal pain A charge nurse is providing an educational session to a group of newly licensed nurses about the purpose of the National Patient Safety Goals. Which of the following objectives should the nurse include as the component of the National Patient Safety Goals? Enhance performance using evidence-based practice. Improve the facility's nurse-patient ratios. Decrease errors related to invasive procedures. Increase the facility's customer satisfaction ratings. - Decrease errors related to invasive procedures A nurse is caring for a client who has a new diagnosis of diabetes mellitus and states that they cannot afford the prescribed insulin. The nurse offers to refer the client to the facility social worker. Which of the following principles is the nurse demonstrating? Fidelity Veracity Advocacy Nonmaleficence - Advocacy A nurse is assessing a client who has an UTI. which of the following locations should the nurse expect the client to be experiencing pain? upper abdomen lower abdomen lower back - lower back A nurse is reviewing the advance directives of a client who is being sustained on life support. The family disagrees regarding the continuation of life support measures. Which of the following individuals should the nurse identify as having the legal ability to determine the client's course f treatment? The client's younger child, who is the client's health care proxy The client's older child, who manages the client's financial affairs The client's attorney, who manages the client's legal affairs The client's spouse, who resides in a long-term care facility - The clients younger child, who is the client's health care proxy A nurse in a provider's office is caring for a client who has a new prescription for an opioid analgesic. the client states that they are concerned about developing constipation. Which of the following should the nurse take first? Encourage the client to increase their fluid intake while taking opioids. Identify the client's usual bowel elimination pattern. Request a prescription for a stool softener from the provider.

Instruct the client to keep a record of their bowel movements. - Identify the client's usual bowel elimination pattern. A nurse is teaching a client who has acute ulcerative colitis and is prescribed a low-fiber diet. Which of the following foods should the nurse instruct the client to eat? Cooked spinach Whole-wheat bun Flavored gelatin Brown rice - Flavored gelatin A nurse is planning care for a client who is actively dying and has previously expressed a desire to adhere to Buddhist practices related to death. Which of the following actions should the nurse anticipate and confirm with the client to accommodate their preferences? Leave the client's body alone in an empty room for 1 hr following death. Ask a female family member to prepare the client's body following death. Avoid discussing the option of organ donation with the client's family. Ensure that there is room for the family to stand at the head of the client's bed. - Ensure that there is a room for the family to stand at the head of the client's bed A nurse is assessing a client who has coughing frequently during meals? The nurse should initiate a referral to which of the following members of the inter-professional care team to evaluate the client for dysphagia? Registered dietitian Speech-language pathologist Occupational therapist Physical therapist - Speech-language pathologist A nurse is supervising a newly licensed nurse who is documenting care on four clients in the client's electronic medical records. Th nurse should identify that which of the following notations indicates accurate documentation? "The client was uncooperative during morning care." "The client has large bruises that appear self-inflicted." "The client demanded to receive test results." "The client is disoriented to place and date." - The client is disoriented to place and date A nurse is discussing the Healthy People 2020 initiative with a group if newly licensed nurses. The nurse should identify that which of the following nursing interventions meets one of the Healthy People 202 objectives? Performing total care for a client who is undergoing rehabilitation for a permanent lumbar spinal cord injury Organizing an exercise program for a group of older adults in an independent living facility Turning an immobile client every 4 to 6 hr

A nurse is reviewing the medical record of a client prior to medication administration. Which of the following actions should the nurse plan to take? Encourage client to assist with opening medication packages. Request the digoxin elixir be replaced with a tablet formulation. Instruct the client to refrain from taking St. John's wort. Recommend the client take a magnesium supplement. - Instruct the client to refrain from taking St. John's wort A nurse is caring for a client who has clostridium difficile. Th nurse should identify that C. difficile can be transmitted thought contact with which of the following? Blood and blood products Stool Saliva Respiratory secretions - Stool A nurse is teaching a group about cultural competence related to clients who follow Islamic dietary laws. Which of the following images of food should the nurse include in the teaching as appropriate for a client who devoutly follows Islamic dietary practices? ham hamburger pizza BLT - Pizza A nurse is caring for a client who has a pressure ulcer and a prescription for a culture to evaluate the effect of antibiotic therapy on wound healing. Which of the following actions should the nurse take first when obtaining the culture? Don sterile gloves. Cleanse the wound. Remove dressings covering the wound. Rotate culture swab over granulation tissue of wound. - Remove dressings covering the wound A nurse is talking with the parents of a school-aged child about managing enuresis. Which of the following parent statements indicates an understand of the information? "We will have him bear down as if defecating to strengthen the pelvic muscles." "We will ask the provider to prescribe an antianxiety medication for his problem." "We will limit the amount of time he can watch television each time he has an episode." "We will have him help change the bed linens after he has an accident." - "We will have him help change the bed linens after he has an accident." A nurse is teaching a client who has left-sided weakness and a history of falls to use a quad cane. In what order should the nurse provide the following instructions? - 1. Place the cane on right side of the body

Keep weight in both legs as you mire the cane forward
Advance the can 6 to 12 inches forward

Move your left leg forward until it is even with the cane A nurse is conducting a cultural assessment on a client to understand the clients values and beliefs. Which of the following actions should the nurse take first? Reflect on their own cultural values. Analyze the client's nonverbal communication. Establish trust with the client. Record the client's reaction to the nurse's movements. - Reflect in their own cultural values A nurse is caring for a group of client who had dark pigmented skin. For which of the following clients should the nurse notify the provider? A child who has red pinpoint dots on the palms of their hands An infant who has an oval-shaped, bluish-grey discoloration on their sacrum An adolescent who has slightly yellowed sclera without yellowing of the palate A child who has darker pigmented skin on their labia majora - A child who has red pinpoint dots on the palms of their hands A nurse is teaching a group of parents and guardians about identifying substance use disorder among adolescents. Which of the following adolescent behaviors should the nurse include as a possible indications of substance use disorder? Increased participation in social activities Wearing short sleeve shirts in cold weather Increased academic performance Wearing dark glasses indoors - Wearing dark glasses indoors A nurse is caring for a client who uses a fetanyl trans-dermal patch to treat chronic pain and is experiencing breakthrough pain following a surgical procedure. Which of the following medications should the nurse expect to administer? Sumatriptan Alprazolam Oxycodone Midazolam - Oxycodone A nurse is providing teaching to a group of newly licensed nurses about hr legal scope of practice of nurses. Which of the following statements by a newly licensed nurse indicate an understanding of the teaching? "I must have a provider present when I perform suctioning on a tracheostomy." "I can assign a licensed practical nurse to obtain a Papanicolaou smear from a client." "I must obtain a provider's prescription before I can perform an ECG for a client who is experiencing chest pain." "I can reposition a client who has tetraplegia without a provider's prescription." - "I can reposition a client who has tetraplegia without a providers prescription."

"I'll take my medication at bedtime every night." "I'll take my calcium pill right after I take this medication." "I won't lie down for 30 minutes after I take my medication." - "I wont lie down for 30 minutes after I take my medication." A nurse is preparing to calculate the medication dosage for an adult client who has a prescription for a weight-based medication. Which of the following actions should the nurse plan to take? Divide the client's weight in pounds by 2.2 to obtain their weight in kilograms. Multiply liters by 100 to determine the volume in milliliters. Round the calculation results to the nearest hundredth. Determine the client's body mass index (BMI) in meters squared (m2) - Divide the client's weight in pounds by 2.2 to obtain their weight in kilograms A nurse is teaching a group of parents and guardians who have toddlers about home safety. Which of the following information should the nurse provide? Keep cleaning solutions and other poisonous substances in a high cupboard. Do not leave toddlers alone in a bathtub for more than 5 min. Use small, sturdy, reusable food containers for storing over-the-counter medications. Install deadbolts toward the top of doors leading outside. - Install deadbolts toward the top of doors leading outside A nurse is preparing to administer furosemide 35 mg IV to a client. The amount available is 10mg/mL. How many mL should the nurse administer? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - 3.5 mL A nurse is planning care for a client who has urinary incontinence. Which of the following interventions should the nurse include in the plan? Place a folded cloth between the client's legs near the perineal area. Clean the client's perineal area with no-rinse cleanser. Apply powder or corn starch to the client's perineal area. Place a layer of towels under a standard draw sheet on the client's bed. - Clean the client's perineal area with no-rinse cleanser A charge nurse is planning a presentation about electronic health records (EHR) for a group of newly licensed nurses. Which of the following information should the nurse include? Maintaining security of client information is a concern with EHRs. Determining trends in client data is difficult to do with EHRs. Developing a new EHR can occur with a few hours of work. Monitoring for medication interactions is not a feature of EHRs. - Maintaining security of client information is a concern with EHRs A nurse is providing dietary teaching to a client who has diarrhea. Which of the following items should the nurse include in the teaching as an appropriate dietary choice? Prune juice

Whole milk Tomato juice Ginger ale - Tomato juice= The nurse should instruct a client who has diarrhea to consume tomato juice because it is high in potassium, which is lost with diarrhea. Tomato juice also contains no pulp, which indicates it is low in fiber. Therefore, it will not contribute to increased bowel motility. A nurse is teaching a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following actions should the nurse include as an example of PSDA compliance? Requiring clients to complete advance directives Providing clients with the right to choose who has access to their health information Demonstrating to a client how to use the call light system Informing clients they can decline any treatment the provider prescribes - Informing clients they can decline any treatment the provider prescribes A nurse is initiating droplet precautions for a newly admitted client. Which of the following actions should the nurse take? Place the client in a private room. Provide an N95 respirator mask for the client to use when ambulating in the hallway. Ensure the client wears a face mask for transport to x-ray. Don sterile gloves when handling the client's soiled tissues. Wear a surgical gown when administering medications to the client. - - Place the client in a private room

Ensure the client wears a face mask for transport to x-ray A nurse is assessing a client who has urolithiasis and is experiencing acute pain. Which of the following manifestations should the nurse expect? Flank pain Fever Hematuria Polyuria Rigid abdomen - - Flank pain
Fever
Hematuria A nurse is reviewing the facility policy about occurrences that require an incident report with a newly licensed nurse. Which of the following examples should the nurse include? Staff shortage issues Verbal complaint from a client's partner Omission of a laboratory test Conflict with nursing peers - Omission of a laboratory test A nurse is providing teaching about infant nutrition to the guardian of a 1-month-old infant who is formula fed. Which of the following statements should the nurse include? "Your baby can start drinking fruit juice when she is 3 months old."

A nurse is administering a liquid oral medication from a multi dose bottle to a client. The nurse calculates that the does to me administered id 4 mL. Which of the following actions should the nurse take? Measure the medication in a medicine cup. Draw the medication up into a parenteral syringe. Label the medication after measuring the dosage. Return excess medication into the multidose container. - Label the medication after measuring the dosage A nurse is planning to teach a class about standard precautions and preventing puncture injuries. Which of the following information should the nurse include in the plan? Break needles prior to disposal. Recap needles using the one-handed scoop method. Place broken glass in a paper bag before disposing in a wastebasket. Manually activate a passive safety device on a syringe. - Recap needles using the one- handed scoop method

Nursing Practices and Client Care, Exams of Nursing

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ATI Practice Exam Test B 2023